藥局福利管理市場－全球產業規模、佔有率、趨勢、機會和預測，按服務、商業模式、最終用戶、地區和競爭格局分類，2020-2030年預測

2024年全球藥局福利管理市場規模為4,284.2億美元，預計2030年將以7.21%的複合年成長率成長至6,505.5億美元。藥局福利管理（PBM）是指第三方管理機構透過協商藥品價格、處理理賠和製定藥品目錄，為健康保險公司、雇主和政府專案管理處方藥福利，以控制成本並改善藥物可近性。

主要市場促進因素

處方藥成本的不斷攀升是全球藥品福利管理市場的主要促進因素，因此需要製定複雜的策略來管理藥品支出。隨著藥品價格持續上漲，健康保險公司、雇主和政府專案越來越依賴藥品福利管理機構（PBM）與藥品生產商談判折扣、制定具有成本效益的藥品目錄並實施用藥管理計劃。

主要市場挑戰

藥品福利管理業務實務長期缺乏透明度，嚴重阻礙了市場成長。利潤取得方式的不透明，尤其是在藥品定價機制和回扣結構方面，加劇了各利害關係人之間的不信任。

主要市場趨勢

先進技術和人工智慧的融合是全球藥品福利管理市場的一大趨勢，它正在提升營運效率並增強服務交付能力。藥品福利管理機構（PBM）正擴大利用複雜的數位工具和人工智慧來實現流程自動化、最佳化藥品目錄設計並提高患者參與度。

目錄

第1章：產品概述

第2章：研究方法

第3章：執行概要

第4章：顧客之聲

第5章：全球藥局福利管理市場展望

• 市場規模及預測
  • 按價值
• 市佔率及預測
  • 依服務項目分類（專科藥局、藥品配方管理、福利計畫設計與諮詢、其他服務）
  • 依業務模式分類（政府醫療計劃、雇主贊助計劃、健康保險管理）
  • 按最終用戶（藥品福利管理機構、郵購藥局、零售藥局、其他）
  • 按地區
  • 按公司（2024 年）
• 市場地圖

第6章：北美藥局福利管理市場展望

• 市場規模及預測
• 市佔率及預測
• 北美洲：國家分析
  • 美國
  • 加拿大
  • 墨西哥

第7章：歐洲藥品福利管理市場展望

• 市場規模及預測
• 市佔率及預測
• 歐洲：國家分析
  • 德國
  • 法國
  • 英國
  • 義大利
  • 西班牙

第8章：亞太地區藥局福利管理市場展望

• 市場規模及預測
• 市佔率及預測
• 亞太地區：國家分析
  • 中國
  • 印度
  • 日本
  • 韓國
  • 澳洲

第9章：中東和非洲藥品福利管理市場展望

• 市場規模及預測
• 市佔率及預測
• 中東和非洲：國家分析
  • 沙烏地阿拉伯
  • 阿拉伯聯合大公國
  • 南非

第10章：南美洲藥品福利管理市場展望

• 市場規模及預測
• 市佔率及預測
• 南美洲：國家分析
  • 巴西
  • 哥倫比亞
  • 阿根廷

第11章：市場動態

• 促進要素
• 挑戰

第12章：市場趨勢與發展

• 併購
• 產品發布
• 最新進展

第13章：全球藥局福利管理市場：SWOT分析

第14章：波特五力分析

• 產業競爭
• 新進入者的潛力
• 供應商議價能力
• 顧客的力量
• 替代產品的威脅

第15章：競爭格局

• Optum, Inc.
• Centene Corporation (Envolve Health).
• CVS Health Corporation
• SS&C Technologies, Inc.
• Anthem, Inc..
• Elixir Rx Solutions, LLC.
• Express Scripts Holding Company
• Benecard Services, LLC.
• CaptureRx LLC

第16章：策略建議

第17章調查會社について,免責事項

The Global Pharmacy Benefit Management Market, valued at USD 428.42 Billion in 2024, is projected to experience a CAGR of 7.21% to reach USD 650.55 Billion by 2030. Pharmacy Benefit Management (PBM) involves third-party administrators that manage prescription drug benefits for health insurers, employers, and government programs by negotiating drug prices, processing claims, and developing formularies to control costs and improve access to medications.

Key Market Drivers

The escalating costs of prescription drugs represent a fundamental driver for the Global Pharmacy Benefit Management Market, necessitating sophisticated strategies to manage pharmaceutical expenditure. As drug prices continue to climb, health insurers, employers, and government programs increasingly rely on PBMs to negotiate discounts with manufacturers, establish cost-effective formularies, and implement utilization management programs. This demand for cost containment solutions positions PBMs as critical intermediaries in the healthcare supply chain, essential for mitigating financial burdens on payers and patients.

Key Market Challenges

The persistent lack of transparency within Pharmacy Benefit Management business practices presents a substantial impediment to market growth. Opaque profit generation, particularly concerning drug pricing mechanisms and rebate structures, cultivates significant distrust among various stakeholders. This environment complicates effective oversight and prompts increased scrutiny, leading to calls for more stringent regulation.

Key Market Trends

Advanced Technology and AI Integration represents a significant trend in the Global Pharmacy Benefit Management Market, transforming operational efficiencies and enhancing service delivery. PBMs are increasingly leveraging sophisticated digital tools and artificial intelligence to automate processes, optimize formulary design, and improve patient engagement. AHIP's 2024 Consumer Experience and Digital Health Forum notably featured "AI, Data Analytics and Interoperability" as a core track, underscoring the industry's strategic emphasis on these areas for evolving healthcare delivery. This technological shift allows for more precise identification of medication non-adherence risks and streamlined administrative functions.

Key Market Players

• Optum, Inc.
• Centene Corporation (Envolve Health).
• CVS Health Corporation
• SS&C Technologies, Inc.
• Anthem, Inc..
• Elixir Rx Solutions, LLC.
• Express Scripts Holding Company
• Benecard Services, LLC.
• CaptureRx LLC

Report Scope:

In this report, the Global Pharmacy Benefit Management Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

Pharmacy Benefit Management Market, By Service:

• Specialty Pharmacy
• Drug Formulatory Management
• Benefit Plan Design and Consultation
• Other Services

Pharmacy Benefit Management Market, By Business Model:

• Government Health Programs
• Employer-Sponsored Programs
• Health Insurance Management

Pharmacy Benefit Management Market, By End User:

• Pharmacy Benefit Management Organization
• Mail Order Pharmacies
• Retail Pharmacies
• Other

Pharmacy Benefit Management Market, By Region:

• North America
• Europe
  • France
  • United Kingdom
  • Italy
  • Germany
  • Spain
• Asia Pacific
• South America
• Middle East & Africa

Competitive Landscape

Company Profiles: Detailed analysis of the major companies presents in the Global Pharmacy Benefit Management Market.

Available Customizations:

Global Pharmacy Benefit Management Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:

Company Information

• Detailed analysis and profiling of additional market players (up to five).

Table of Contents

1. Product Overview

• 1.1. Market Definition
• 1.2. Scope of the Market
  • 1.2.1. Markets Covered
  • 1.2.2. Years Considered for Study
  • 1.2.3. Key Market Segmentations

2. Research Methodology

• 2.1. Objective of the Study
• 2.2. Baseline Methodology
• 2.3. Key Industry Partners
• 2.4. Major Association and Secondary Sources
• 2.5. Forecasting Methodology
• 2.6. Data Triangulation & Validation
• 2.7. Assumptions and Limitations

3. Executive Summary

• 3.1. Overview of the Market
• 3.2. Overview of Key Market Segmentations
• 3.3. Overview of Key Market Players
• 3.4. Overview of Key Regions/Countries
• 3.5. Overview of Market Drivers, Challenges, Trends

4. Voice of Customer

5. Global Pharmacy Benefit Management Market Outlook

• 5.1. Market Size & Forecast
  • 5.1.1. By Value
• 5.2. Market Share & Forecast
  • 5.2.1. By Service (Specialty Pharmacy, Drug Formulatory Management, Benefit Plan Design and Consultation, Other Services)
  • 5.2.2. By Business Model (Government Health Programs, Employer-Sponsored Programs, Health Insurance Management)
  • 5.2.3. By End User (Pharmacy Benefit Management Organization, Mail Order Pharmacies, Retail Pharmacies, Other)
  • 5.2.4. By Region
  • 5.2.5. By Company (2024)
• 5.3. Market Map

6. North America Pharmacy Benefit Management Market Outlook

• 6.1. Market Size & Forecast
  • 6.1.1. By Value
• 6.2. Market Share & Forecast
  • 6.2.1. By Service
  • 6.2.2. By Business Model
  • 6.2.3. By End User
  • 6.2.4. By Country
• 6.3. North America: Country Analysis
  • 6.3.1. United States Pharmacy Benefit Management Market Outlook
    • 6.3.1.1. Market Size & Forecast
      • 6.3.1.1.1. By Value
    • 6.3.1.2. Market Share & Forecast
      • 6.3.1.2.1. By Service
      • 6.3.1.2.2. By Business Model
      • 6.3.1.2.3. By End User
  • 6.3.2. Canada Pharmacy Benefit Management Market Outlook
    • 6.3.2.1. Market Size & Forecast
      • 6.3.2.1.1. By Value
    • 6.3.2.2. Market Share & Forecast
      • 6.3.2.2.1. By Service
      • 6.3.2.2.2. By Business Model
      • 6.3.2.2.3. By End User
  • 6.3.3. Mexico Pharmacy Benefit Management Market Outlook
    • 6.3.3.1. Market Size & Forecast
      • 6.3.3.1.1. By Value
    • 6.3.3.2. Market Share & Forecast
      • 6.3.3.2.1. By Service
      • 6.3.3.2.2. By Business Model
      • 6.3.3.2.3. By End User

7. Europe Pharmacy Benefit Management Market Outlook

• 7.1. Market Size & Forecast
  • 7.1.1. By Value
• 7.2. Market Share & Forecast
  • 7.2.1. By Service
  • 7.2.2. By Business Model
  • 7.2.3. By End User
  • 7.2.4. By Country
• 7.3. Europe: Country Analysis
  • 7.3.1. Germany Pharmacy Benefit Management Market Outlook
    • 7.3.1.1. Market Size & Forecast
      • 7.3.1.1.1. By Value
    • 7.3.1.2. Market Share & Forecast
      • 7.3.1.2.1. By Service
      • 7.3.1.2.2. By Business Model
      • 7.3.1.2.3. By End User
  • 7.3.2. France Pharmacy Benefit Management Market Outlook
    • 7.3.2.1. Market Size & Forecast
      • 7.3.2.1.1. By Value
    • 7.3.2.2. Market Share & Forecast
      • 7.3.2.2.1. By Service
      • 7.3.2.2.2. By Business Model
      • 7.3.2.2.3. By End User
  • 7.3.3. United Kingdom Pharmacy Benefit Management Market Outlook
    • 7.3.3.1. Market Size & Forecast
      • 7.3.3.1.1. By Value
    • 7.3.3.2. Market Share & Forecast
      • 7.3.3.2.1. By Service
      • 7.3.3.2.2. By Business Model
      • 7.3.3.2.3. By End User
  • 7.3.4. Italy Pharmacy Benefit Management Market Outlook
    • 7.3.4.1. Market Size & Forecast
      • 7.3.4.1.1. By Value
    • 7.3.4.2. Market Share & Forecast
      • 7.3.4.2.1. By Service
      • 7.3.4.2.2. By Business Model
      • 7.3.4.2.3. By End User
  • 7.3.5. Spain Pharmacy Benefit Management Market Outlook
    • 7.3.5.1. Market Size & Forecast
      • 7.3.5.1.1. By Value
    • 7.3.5.2. Market Share & Forecast
      • 7.3.5.2.1. By Service
      • 7.3.5.2.2. By Business Model
      • 7.3.5.2.3. By End User

8. Asia Pacific Pharmacy Benefit Management Market Outlook

• 8.1. Market Size & Forecast
  • 8.1.1. By Value
• 8.2. Market Share & Forecast
  • 8.2.1. By Service
  • 8.2.2. By Business Model
  • 8.2.3. By End User
  • 8.2.4. By Country
• 8.3. Asia Pacific: Country Analysis
  • 8.3.1. China Pharmacy Benefit Management Market Outlook
    • 8.3.1.1. Market Size & Forecast
      • 8.3.1.1.1. By Value
    • 8.3.1.2. Market Share & Forecast
      • 8.3.1.2.1. By Service
      • 8.3.1.2.2. By Business Model
      • 8.3.1.2.3. By End User
  • 8.3.2. India Pharmacy Benefit Management Market Outlook
    • 8.3.2.1. Market Size & Forecast
      • 8.3.2.1.1. By Value
    • 8.3.2.2. Market Share & Forecast
      • 8.3.2.2.1. By Service
      • 8.3.2.2.2. By Business Model
      • 8.3.2.2.3. By End User
  • 8.3.3. Japan Pharmacy Benefit Management Market Outlook
    • 8.3.3.1. Market Size & Forecast
      • 8.3.3.1.1. By Value
    • 8.3.3.2. Market Share & Forecast
      • 8.3.3.2.1. By Service
      • 8.3.3.2.2. By Business Model
      • 8.3.3.2.3. By End User
  • 8.3.4. South Korea Pharmacy Benefit Management Market Outlook
    • 8.3.4.1. Market Size & Forecast
      • 8.3.4.1.1. By Value
    • 8.3.4.2. Market Share & Forecast
      • 8.3.4.2.1. By Service
      • 8.3.4.2.2. By Business Model
      • 8.3.4.2.3. By End User
  • 8.3.5. Australia Pharmacy Benefit Management Market Outlook
    • 8.3.5.1. Market Size & Forecast
      • 8.3.5.1.1. By Value
    • 8.3.5.2. Market Share & Forecast
      • 8.3.5.2.1. By Service
      • 8.3.5.2.2. By Business Model
      • 8.3.5.2.3. By End User

9. Middle East & Africa Pharmacy Benefit Management Market Outlook

• 9.1. Market Size & Forecast
  • 9.1.1. By Value
• 9.2. Market Share & Forecast
  • 9.2.1. By Service
  • 9.2.2. By Business Model
  • 9.2.3. By End User
  • 9.2.4. By Country
• 9.3. Middle East & Africa: Country Analysis
  • 9.3.1. Saudi Arabia Pharmacy Benefit Management Market Outlook
    • 9.3.1.1. Market Size & Forecast
      • 9.3.1.1.1. By Value
    • 9.3.1.2. Market Share & Forecast
      • 9.3.1.2.1. By Service
      • 9.3.1.2.2. By Business Model
      • 9.3.1.2.3. By End User
  • 9.3.2. UAE Pharmacy Benefit Management Market Outlook
    • 9.3.2.1. Market Size & Forecast
      • 9.3.2.1.1. By Value
    • 9.3.2.2. Market Share & Forecast
      • 9.3.2.2.1. By Service
      • 9.3.2.2.2. By Business Model
      • 9.3.2.2.3. By End User
  • 9.3.3. South Africa Pharmacy Benefit Management Market Outlook
    • 9.3.3.1. Market Size & Forecast
      • 9.3.3.1.1. By Value
    • 9.3.3.2. Market Share & Forecast
      • 9.3.3.2.1. By Service
      • 9.3.3.2.2. By Business Model
      • 9.3.3.2.3. By End User

10. South America Pharmacy Benefit Management Market Outlook

• 10.1. Market Size & Forecast
  • 10.1.1. By Value
• 10.2. Market Share & Forecast
  • 10.2.1. By Service
  • 10.2.2. By Business Model
  • 10.2.3. By End User
  • 10.2.4. By Country
• 10.3. South America: Country Analysis
  • 10.3.1. Brazil Pharmacy Benefit Management Market Outlook
    • 10.3.1.1. Market Size & Forecast
      • 10.3.1.1.1. By Value
    • 10.3.1.2. Market Share & Forecast
      • 10.3.1.2.1. By Service
      • 10.3.1.2.2. By Business Model
      • 10.3.1.2.3. By End User
  • 10.3.2. Colombia Pharmacy Benefit Management Market Outlook
    • 10.3.2.1. Market Size & Forecast
      • 10.3.2.1.1. By Value
    • 10.3.2.2. Market Share & Forecast
      • 10.3.2.2.1. By Service
      • 10.3.2.2.2. By Business Model
      • 10.3.2.2.3. By End User
  • 10.3.3. Argentina Pharmacy Benefit Management Market Outlook
    • 10.3.3.1. Market Size & Forecast
      • 10.3.3.1.1. By Value
    • 10.3.3.2. Market Share & Forecast
      • 10.3.3.2.1. By Service
      • 10.3.3.2.2. By Business Model
      • 10.3.3.2.3. By End User

11. Market Dynamics

• 11.1. Drivers
• 11.2. Challenges

12. Market Trends & Developments

• 12.1. Merger & Acquisition (If Any)
• 12.2. Product Launches (If Any)
• 12.3. Recent Developments

13. Global Pharmacy Benefit Management Market: SWOT Analysis

14. Porter's Five Forces Analysis

• 14.1. Competition in the Industry
• 14.2. Potential of New Entrants
• 14.3. Power of Suppliers
• 14.4. Power of Customers
• 14.5. Threat of Substitute Products

15. Competitive Landscape

• 15.1. Optum, Inc.
  • 15.1.1. Business Overview
  • 15.1.2. Products & Services
  • 15.1.3. Recent Developments
  • 15.1.4. Key Personnel
  • 15.1.5. SWOT Analysis
• 15.2. Centene Corporation (Envolve Health).
• 15.3. CVS Health Corporation
• 15.4. SS&C Technologies, Inc.
• 15.5. Anthem, Inc..
• 15.6. Elixir Rx Solutions, LLC.
• 15.7. Express Scripts Holding Company
• 15.8. Benecard Services, LLC.
• 15.9. CaptureRx LLC

16. Strategic Recommendations

17. About Us & Disclaimer